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Dr. Timothy John Peterson, DC
Chiropractor in Bloomer, Wisconsin
NPI 1609956481

Timothy John Peterson is a Chiropractor based in Bloomer, WI. Timothy John Peterson practices in Bloomer, WI and has the professional credentials of DC. The NPI Number for Timothy John Peterson is 1609956481 and holds a License No. 1654 (Wisconsin).

The current practice location address for Timothy John Peterson is 10135 Hwy Ss, Bloomer, WI and can be reached out via phone at 715-568-1251 and via fax at 715-568-1252.

Location: 10135 Hwy Ss, Bloomer, WI, 54724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609956481
Provider Name
Timothy John Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10135 Hwy Ss, Bloomer, WI, 54724
Phone Number
715-568-1251
Fax Number
715-568-1252
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
481291951010 01 WI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
10135 Hwy Ss
City
Bloomer
State
Wisconsin
Zip
54724
Phone Number
715-568-1251
Fax Number
715-568-1252
person
Provider Business Mailing Address Details
Address
10135 Hwy Ss
City
Bloomer
State
Wisconsin
Zip
54724
Phone Number
715-568-1251
Fax Number
715-568-1252
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1654 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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